ELEVATE! Risk Adjustment Insights is one of the foundational services within the ELEVATE! Healthcare™ platform. By providing real-time access and visibility to the underlying drivers of medical and financial risk, our clients improve payment accuracy, address population health necessities, and rationalize the cost of care provided. The agility of our ELEVATE! Risk Adjustment Insights solution allows clients to analyze risk scores based on specific Hierarchical Condition Categories as defined by CMS for the Medicare, ACA and state-based Medicaid models.

End-to-End Risk Adjustment

Fully-managed and flexible solutions – Importing all key health plan data and processing the results through all major risk models

Identify non-optimized members due to projected RAF scores or suspected morbidities